Akbaş Esin, Özdemir Mustafa, Akbaş Abuzer, Usgu Serkan, Bulut Hacı Taner
Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Adıyaman University, Adıyaman, Turkey.
, Department of Radiology, Faculty of Medicine, Adiyaman University, Turkey.
Rheumatol Int. 2025 Aug 19;45(9):201. doi: 10.1007/s00296-025-05964-7.
The primary aim of this study was to investigate the effects of different intensities of spinal stabilization exercises (SSE) on the core muscle stiffness; the secondary aim was to investigate the effects of these exercises on pain and disability. Participants were randomly assigned into three groups. Group 1 (n = 16) received supervised SSE 4 days a week; group 2 (n = 17) received supervised SSE 2 days a week; and the control group (n = 17) received a home exercise program. Stiffness of transversus abdominis (TrA) measured by shear wave elastography at baseline and 12 weeks. Pain and disability evaluated by visual analog scale (VAS) and Oswestry Disability Index (ODI) at baseline, 6 weeks and 12 weeks. Post-intervention median left and right TrA stiffness were measured as group 1 = 31.4 (25.6-37.8) and 33.3 (27.6-36.2); group 2 = 27.8 (21.6-34.8) and 28.2 (21.9-35.6); control group = 19.4 (14.8-28.2) and 20.6 (15.2-30.2). The muscle stiffness of the group 1 was found to be statistically higher than the other groups (p < 0.05). Post-intervention median VAS and ODI scores were measured as group 1 = 3 (2-4) and 17 (14-26); group 2 = 3 (2-4) and 24 (16-26); control group = 4 (3-5) and 28 (20-36). The difference between the means between groups 1 and 2 was 0.63 for VAS and 7.61 for ODI. These differences were smaller than the minimal clinically important difference value. VAS was statistically lower in groups 1 and 2 than in the control group (p < 0.001). There was no statistical difference in VAS between groups 1 and 2 (p = 0.668). Group 1 improved ODI statistically more than group 2 (p = 0.002). Supervised SSE performed four days a week is statistically more effective in increasing muscle stiffness and reducing disability than exercises performed two days a week.Trial registration This study was registered in Clinical Trials on 22.04.2024 with the reference number NCT06227767. https://clinicaltrials.gov/NCT06227767 .
本研究的主要目的是调查不同强度的脊柱稳定练习（SSE）对核心肌肉僵硬度的影响；次要目的是调查这些练习对疼痛和功能障碍的影响。参与者被随机分为三组。第1组（n = 16）每周接受4天的监督下的SSE；第2组（n = 17）每周接受2天的监督下的SSE；对照组（n = 17）接受家庭锻炼计划。在基线和12周时通过剪切波弹性成像测量腹横肌（TrA）的僵硬度。在基线、6周和12周时通过视觉模拟量表（VAS）和奥斯威斯利功能障碍指数（ODI）评估疼痛和功能障碍。干预后测量的左侧和右侧TrA僵硬度中位数为：第1组 = 31.4（25.6 - 37.8）和33.3（27.6 - 36.2）；第2组 = 27.8（21.6 - 34.8）和28.2（21.9 - 35.6）；对照组 = 19.4（14.8 - 28.2）和20.6（15.2 - 30.2）。发现第1组的肌肉僵硬度在统计学上高于其他组（p < 0.05）。干预后测量的VAS和ODI得分中位数为：第1组 = 3（2 - 4）和17（14 - 26）；第2组 = 3（2 - 4）和24（16 - 26）；对照组 = 4（3 - 5）和28（20 - 36）。第1组和第2组之间的VAS均值差异为0.63，ODI均值差异为7.61。这些差异小于最小临床重要差异值。第1组和第2组的VAS在统计学上低于对照组（p < 0.001）。第1组和第2组之间的VAS没有统计学差异（p = 0.668）。第1组在ODI方面的改善在统计学上比第2组更显著（p = 0.002）。每周进行4天的监督下的SSE在增加肌肉僵硬度和减少功能障碍方面在统计学上比每周进行2天的练习更有效。试验注册 本研究于2024年4月22日在临床试验注册，注册号为NCT06227767。https://clinicaltrials.gov/NCT06227767 。
